Response by Ammirati et al to Letter Regarding Article, “Survival and Left Ventricular Function Changes in Fulminant Versus Nonfulminant Acute Myocarditis”
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We thank Drs Jin-shan and Xue-bin for their interest in our work. We cannot provide evidence-based answers to all their queries, and our replies reflect personal opinions or impressions based on our clinical practice.
First, we believe that the larger proportion of females with fulminant myocarditis (FM) could be attributable to the presence of autoimmune disorders that are more frequently reported in women, and could contribute to more intense lymphocytic response to triggers (ie, transient viral infections).
With regard to potential predictors of fulminant forms, …